Screening Tools

Lifestyle Risk Screening Tool

Health Behavior Assessment)

AUDIT (Alcohol Use Disorders Identification Test) (source: World Health Organization)

Physical Activity Readiness Questionnaire (source: Exercise is Medicine)

Wellness Questionnaire and Action Plan (English), Wellness Questionnaire and Action Plan (Spanish) (source: Hennepin County SHIP)

Adult Pre-Visit Planner (source: Hennepin County SHIP)

Clinic Height/Weight Measurement Protocol (source: Park Nicollet Health Services)



Minneapolis Health Department Logo

Should you require a reasonable accommodation in order to fully participate, or information in an alternative format, please contact 612-673-2301. 

Para asistencia 612-673-2700 - Rau kev pab 612-673-2800 - Hadii aad Caawimaad u baahantahay 612-673-3500

Last updated Jan 25, 2017